2022-11-15T15:29:56-06:00 2021-12-31 750882037 BOLINGER SEGARS GILBERT AND MOSS LLP 8215 NASHVILLE AVENUE LUBBOCK TX 79423 990 2021-01-01 752424925 COMMUNITY HEALTH CENTER OF LUBBOCK INC COMM 8067652611 1610 5TH STREET LUBBOCK TX 79401 MICHAEL SULLIVAN CEO 8067652611 2022-10-25 1 MICHAEL SULLIVAN 999009999 Erin Dipprey P01419700 8067473806 2022-10-25 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MICHAEL SULLIVAN 1610 5TH STREET LUBBOCK TX 79401 20463390 0 X WWW.CHCLUBBOCK.ORG X 1992 TX PROVIDE QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES TO THOSE IN NEED. 11 11 152 11 0 0 10978467 14299758 5116964 6127507 3009 15569 27540 20556 16125980 20463390 0 0 0 0 9195446 9576418 0 0 15904 6792967 7504854 15988413 17081272 137567 3382118 19793131 21424060 6756408 5005219 13036723 16418841 PROVIDE QUALITY PRIMARY AND PREVENTATAIVE HEALTH CARE SERVICES TO THOSE IN NEED. 0 0 14970949 6148063 PROVIDED HEALTH CARE SERVICES FOR UNDERPRIVILEGED ADULTS AND CHILDREN INCLUDING WOMENS HEALTH SERVICES, PRENATAL SERVICES, EYE CARE SERVICES, SENIOR SERVICES, PEDIATRIC AND ADULT DENTAL SERVICES, SOCIAL SERVICES PROGRAMS AND OUTREACH SERVICES. THE ORGANIZATION SERVES FIVE COUNTIES IN THE WEST TEXAS AREA. THE FIVE COUNTIES ARE LUBBOCK, CROSBY, LYNN, TERRY AND GARZA. THE ORGANIZATION ALSO OPERATES MOBILE MEDICAL AND DENTAL VANS. DURING 2021, THE ORGANIZATION PROVIDED MEDICAL SERVICES TO APPROXIMATELY 20,314 INDIVIDUALS AND CHILDREN. 14970949 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 6 0 152 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X BARBRA MOORE FINANCE DIRECTOR 8067652611 1610 5TH STREET LUBBOCK TX 79401 X JAMES JOHNSON PRESIDENT 3.00 X X 0 0 0 LORENZA ONTIVEROS TREASURER 2.00 X X 0 0 0 BRANDON HARTLEY SECRETARY 0.75 X X 0 0 0 BERTHA MARTINEZ DIRECTOR 10.00 X 0 0 0 ERMINIA MARTINEZ DIRECTOR 2.00 X 0 0 0 MARGARET GAINES DIRECTOR 3.00 X 0 0 0 PATRICIA MORA DIRECTOR 2.00 X 0 0 0 MICHAEL CHAPMAN 121 - 721 DIRECTOR 1.00 X 0 0 0 MELYNN HENRY DIRECTOR 1.00 X 0 0 0 AARON DAVIS DIRECTOR 1.00 X 0 0 0 MICHAEL GODINEZ 421 - 1221 DIRECTOR 1.00 X 0 0 0 EUNICE CHILES 821 - 1221 DIRECTOR 1.00 X 0 0 0 ALLAN CAMACHO MEDICAL DIRECTOR 40.00 X 323652 0 8190 MICHAEL SULLIVAN CEO 40.00 X 278070 0 10315 ELIZABETH LOPEZ CHIEF DEVELOPMENT OFFICER 40.00 X 190363 0 8898 KARISSA YOUNG DENTAL DIRECTOR 40.00 X 111589 0 9632 BARBRA MOORE FINANCE DIRECTOR 40.00 X 132654 0 1136 LEOPOLDO CABRERA PHYSICIAN 40.00 X 314634 0 3671 KAREN SCOTT PHYSICIAN 40.00 X 264858 0 6169 LUZ BLANCO NURSE PRACTITIONER 40.00 X 129345 0 7396 SHERRY SANDERS HR DIRECTOR/LEGAL COUNSEL 40.00 X 142898 0 7390 JIE YU DENTIST 40.00 X 134186 0 4386 2022249 0 67183 19 0 1 0 LABCORP PO BOX 12140 BURLINGTON NC 27216 LABORATORY 358387 PROFESSIONAL MAINTENANCE PO BOX 2099 LUBBOCK TX 79408 JANITORIAL SERVICES 309716 VALAGUARD 1610 17TH STREET LUBBOCK TX 79401 IT SERVICES 308688 UNITED COALITION PHARMACY 6502 SLIDE ROAD LUBBOCK TX 79424 DISPENSING FEES 235035 TTUHSC - OPTHALMOLOGY 3601 4TH STREET LUBBOCK TX 79430 OPTHALMOLOGY SERVICES 188540 5 12680899 1618859 1213498 14299758 MEDICAL & PROGRAM FEES 621400 6055865 6055865 MEDICAL RECORDS 621400 53008 53008 MEDICARE & MEDICAID 621400 18634 18634 6127507 3069 3069 20556 0 20556 20556 20556 12500 0 12500 12500 12500 20463390 6148063 0 15569 1074497 884674 181198 8625 7021064 5800924 1220140 213099 176172 36642 285 715056 660919 53180 957 552702 461796 90246 660 12287 12287 35100 35100 1340976 1160529 180447 294048 238493 55555 627734 590809 36925 1119974 1058958 61016 7651 3181 4470 151261 109240 42021 186789 176613 10176 511968 493611 18357 104841 90302 14539 MEDICAL SUPPLIES 2148344 2137201 11143 BAD DEBTS 808667 808667 EQUIP. RENTALS & REPAIR 88345 66846 21499 LICENSE & DUES 58126 52014 6112 8743 3366 5377 17081272 14970949 2094419 15904 1428 1428 5618148 7740144 82554 81597 251248 274520 24502 14312 107975 99112 19058759 5856272 13696816 13202487 10460 10460 19793131 21424060 788876 1173118 4342032 3832101 1625500 0 6756408 5005219 X 12442631 15817891 594092 600950 13036723 16418841 19793131 21424060 3382118 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 930163 930163 13400972 2375390 11025582 1225129 318339 906790 3502495 3162543 339952 13202487 X 20463390 0 20463390 0 20463390 17081272 0 17081272 0 17081272 Part X, Line 2: THE CENTER FOLLOWS THE "UNCERTAIN TAX POSITIONS" PROVISIONS OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. THE PRIMARY TAX POSITION OF THE CENTER IS ITS FILING STATUS AS A TAX EXEMPT ENTITY. THE CENTER DETERMINED THAT IT IS MORE LIKELY THAN NOT THAT THEIR TAX POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS), OR OTHER STATE TAXING AUTHORITY AND THAT ALL TAX BENEFITS ARE LIKELY TO BE REALIZED UPON SETTLEMENT WITH TAXING AUTHORITIES. X X 0 0 0 0 0 0 0 0 0 ALLAN CAMACHO MEDICAL DIRECTOR 283000 0 0 0 40652 0 0 0 8190 0 331842 0 0 0 LEOPOLDO CABRERA PHYSICIAN 272634 0 0 0 42000 0 0 0 3671 0 318305 0 0 0 MICHAEL SULLIVAN CEO 218454 0 0 0 59616 0 0 0 10315 0 288385 0 0 0 KAREN SCOTT PHYSICIAN 234653 0 0 0 30205 0 0 0 6169 0 271027 0 0 0 ELIZABETH LOPEZ CHIEF DEVELOPMENT OFFICER 154266 0 0 0 36097 0 0 0 8898 0 199261 0 0 0 SHERRY SANDERS HR DIRECTOR/LEGAL COUNSEL 125538 0 0 0 17360 0 0 0 7390 0 150288 0 0 0 PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION THE ORGANIZATION OFFERS A LIFE INSURANCE (162) BONUS PLAN TO CERTAIN EMPLOYEES. THE ORGANIZATION PAYS THE PREMIUM FOR PARTICIPATING EMPLOYEES' LIFE INSURANCE POLICIES, AND THE PREMIUM PAYMENTS MADE BY THE ORGANIZATION ARE CONSIDERED TAXABLE COMPENSATION TO THE EMPLOYEE IN THE YEAR PAID. THE AMOUNT OF OTHER REPORTABLE COMPENSATION IN PART II, COLUMN B(III) REPRESENTS THESE PAYMENTS. X 19 1213498 DONOR-PROVIDED INVOICES 0 0 0 Form 990, Part VI, Section A, line 4 THE BYLAWS WERE UPDATED TO FURTHER CLARIFY JOB DUTIES OF THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, line 11b MANAGEMENT WILL PRESENT A COPY OF THE FORM 990 TO THE BOARD FOR DISCUSSION, REVIEW AND APPROVAL PRIOR TO FILING. Form 990, Part VI, Section B, line 12c ALL EMPLOYEES, OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE AN ATTACHMENT DETAILING ANY POSSIBLE CONFLICTS. Form 990, Part VI, Section B, line 15 THE BOARD OF DIRECTORS USE A COMPENSATION COMMITTEE WHEN DETERMINING THE CEO'S SALARY. THE BOARD OF DIRECTORS AND CEO USE A COMPENSATION COMMITTEE WHEN DETERMINING THE OTHER EMPLOYEE OFFICER'S SALARY. Form 990, Part VI, Section C, line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING BY THE PUBLIC AT THE ORGANIZATION'S OFFICE IN LUBBOCK, TX. FORM 990, PAGE 9, PART VIII, LINE 1E INCLUDED ON LINE 1E IS $1,625,500 FROM THE PAYCHECK PROTECTION PROGRAM (PPP) LOAN DURING THE YEAR ENDING 12/31/2021. THE ORGANIZATION FILED FOR FORGIVENESS AND THIS WAS APPROVED. AS SUCH, PER FASB-AS 958-605 NOT-FOR-PROFIT ENTITIES REVENUE RECOGNITION, $1,625,500 IS BEING RECOGNIZED AS CONTRIBUTION INCOME. Form 990, Part XII, Line 2c THE BOARD OF DIRECTORS HAVE ASSIGNED MEMBERS TO AN AUDIT COMMITTEE TO OVERSEE THE FINANCIAL STATEMENT AUDIT AND SELECT THE INDEPENDENT FINANCIAL STATEMENT AUDITOR.